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PERSONAL DETAILS

Name: (as found in passport)

Family/Surname

Legal First Name

Middle Name

Preferred Name

CURRENT ADDRESS

Street Address

City

State/Province

Post/Zip Code

Country

CONTACT INFORMATION

Mobile

E-mail:

BIRTH DETAILS

Birth Date (day/spell month/year)

Country of Birth:

City of Birth

Age:

LANGUAGE SPOKEN

English

YesNo

MARITAL STATUS

Do you have children?

Yes

EMERGENCY CONTACT:

Name:

Phone:

Email:

Relationship

Please prayerfully and concisely answer the following questions.

Describe your expectations of this SBS. State your reasons for applying. What is your ultimate purpose upon completion?

Having considered the daily commitment, are you willing to invest the necessary time and study to complete this intensive course?

Have you ever engaged in drug abuse or the occult?

How would you describe your relationship with your family?

Do you plan to pursue a University of the Nations degree at this time?

Do you have any difficult situations to deal with? How can we pray for you?